NPI | 1295126795 |
---|---|
Former Name | ASHLEY BROOKE WINSTEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009355) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1128790) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2020-05-04 |